Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Süleyman Demirel Üniversitesi Tıp Fakültesi Öğrencilerinde Tükenmişlik ve Kaygı Düzeylerinin Değerlendirilmesi
Evaluation of Burnout and Anxiety Levels in Süleyman Demirel University Faculty of Medicine Students
Hande Nur EROĞLUa, Murat DÜNDARa, Ahmet Nesimi KİŞİOĞLUa
aSüleyman Demirel Üniversitesi Tıp Fakültesi, Halk Sağlığı ABD, Isparta, TÜRKİYE
Turkiye Klinikleri J Med Sci. 2020;40(2):175-82
doi: 10.5336/medsci.2019-71759
Article Language: TR
Full Text
ÖZET
 Amaç: Tıp fakültesi 1 ve 6. sınıf öğrencilerinde tükenmişlik ve kaygı düzeylerini ve bunların sosyodemografik değişkenlerle olan ilişkisini göstermektir. Gereç ve Yöntemler: 2019 yılında gerçekleştirilen kesitsel tipteki bu çalışmanın evreni, Isparta Süleyman Demirel Üniversitesi Tıp Fakültesinde 2018-2019 eğitim öğretim yılında öğrenim gören 6. sınıf (n=224) ve 1. sınıf (n=311) öğrenciler tarafından oluşturuldu (toplam n=535). Bulgular: Araştırma grubunun Beck Anksiyete Ölçeği toplam puanı ortalaması 12,3±9,1 olarak hesaplanırken, Maslach Tükenmişlik Envanteri-Genel Formu alt ölçek puanlarının ortalaması; duygusal tükenme için 14,7±4,3, duyarsızlaşma için 9,6±3,3, kişisel başarı alt ölçeği için ise 19,5±4,4 olarak hesaplandı. Çok değişkenli analiz sonuçlarına göre; kadın cinsiyet, 1. sınıf öğrencisi olmak, bölümde kendini başarılı bulmamak, sosyal aktivitelere katılma durumunu yetersiz bulmak, sağlık durumunun kötü ve orta olması anksiyete puanını artıran istatistiksel olarak anlamlı prediktif faktörlerdi. Altıncı sınıf öğrencisi olmak, meslek tercihinde etkili faktörün kendi isteği olmaması ve diğer faktörlerin etkin olması, bölümün öğrencinin yapısına uygun olmaması, bölümünü değiştirme ve mümkün olsa mesleğini başka ülkede yapma isteğinin olması, sağlık durumunun kötü ve orta olması duygusal tükenmişlik puanını artıran anlamlı faktörlerdi. Yine kişinin 6. sınıf öğrencisi olması, meslek tercihinde etkili faktörün kendi isteği olmaması, meslekten beklentisinin insanlara faydalı olmak ve bu meslekte yükselmek olmaması, bölümünü değiştirme isteğinin olması duyarsızlaşma puanını artıran anlamlı faktörlerdi.Bölümün öğrencinin yapısına uygun olması, bölümde kendini başarılı bulması ve meslekten beklentisinin insanlara faydalı olmak olması kişisel başarı puanını artıran prediktif faktörler olarak tanımlandı. Sonuç: Meslek tercihindeki etkili faktörler ve meslekten beklentiler kişinin kişisel başarısını, tükenmişlik düzeylerini ve anksiyetesini etkilemektedir.

Anahtar Kelimeler: Tükenmişlik; anksiyete; tıp öğrencileri
ABSTRACT
 Objective: The aim of this study was to show the levels of burnout and anxiety among the first and sixth class students of medical school and their relationship with sociodemographic variables. Material and Methods: The universe of this cross-sectional study was conducted by 6th class (n=224) and 1st class (n=311) students studying at Isparta Süleyman Demirel University Faculty of Medicine in 2018- 2019 academic year (total n=535). Results: The mean Beck Anxiety total score of the research group was calculated as 12.3±9.1, while the mean score of Maslach Burnout Inventory-General Survey subscale scores; For emotional burnout, it was calculated as 14.7±4.3, 9.6±3.3 for depersonalization and 19.5±4.4 for personal success. According to multivariate analysis results; being a female gender, being a first year student, not finding him/herself successful in the department, finding his/her social status as inadequate, poor and moderate health status were statistically significant predictive factors. Being a sixth grader, not having the desire to be an effective factor in the choice of profession and other factors being effective, not being suitable for the structure of the student, having the desire to change the department and if possible to do the profession in another country, having a bad and medium health status were significant factors that increased emotional burnout score. The fact that being a sixth grade student, that the effective factor in his choice of profession was not his/her own desire, that his expectations from the profession were beneficial to the people and that he did not rise in this profession, the desire to change his department were significant factors that increased the depersonalization score. The fact that the department is suitable for the structure of the student, finding himself/herself successful in the department and being beneficial to the people from the profession is defined as predictive factors that increase the personal success score. Conclusion: The factors affecting their choices of profession and their expectations from the profession affect the personal success, burnout levels and anxiety.

Keywords: Burnout; anxiety; medical students
REFERENCES:
  1. Freudenberger HJ. Staff burn‐out. J Soc Issues. 1974;30(1):159-65. [Crossref] 
  2. Spickard Jr A, Gabbe SG, Christensen JF. Mid-career burnout in generalist and specialist physicians. JAMA. 2002;288(12):1447-50. [Crossref]  [PubMed] 
  3. Mazurkiewicz R, Korenstein D, Fallar R, Ripp J. The prevalence and correlations of medical student burnout in the pre-clinical years: a cross-sectional study. Psychol Health Med. 2012;17(2):188-95. [Crossref]  [PubMed] 
  4. Küey L, Üstün T, Güleç C. [A review of research studies on the epidemiology of mental disorders in Turkey]. Toplum ve Hekim. 1987;44(6):16-30.
  5. Mayda A, Yılmaz M, Filiz B, Deler M, Demir H, Doğru M, et al. [A research on the anxiety about future in medical classes 4, 5, 6 of a university]. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2014;4(3):7-13.
  6. Ishak W, Nikravesh R, Lederer S, Perry R, Ogunyemi D, Bernstein C. Burnout in medical students: a systematic review. Clin Teach. 2013;10(4):242-5. [Crossref]  [PubMed] 
  7. Beck AT, Epstein N, Brown G, Ster RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Phychol. 1988;56(6):893-7. [Crossref]  [PubMed] 
  8. Partlak Günüşen N, Üstün B. [Burnout in the nurses and doctors working in secondary healthcare services in Turkey: a literature review]. DEUHYO ED. 2010;3(1):40-51.
  9. Şahin A. Sağlık Çalışanlarının Prsikolojik Sağlığı ve Etkileyen Faktörler. Ankara: Sağlık Çalışanlarının Sağlığı 1. Ulusal Kongresi; 1999. p.80.
  10. Topak OZ, Karan CB, Toktaş SN, Gündoğmuş SZ, Özdel O. [The comparison of burnour levels in a group of medical students in the learnings process: does the process of medical education change the burnout levels]. Klinik Psikiyatri. 2015;18:90-6.
  11. Gündüz B, Çapri B, Gökçakan Z. [Examination of the relationships between job burnout, job integration and job satisfaction]. Eğitim Bilimleri Araştırmaları Dergisi. 2013;3(1):29-49. [Crossref] 
  12. Ergin C. Burnout in doctor and nurses and adaptation of Maslach Burnout Inventory. In Ankara: VII. National Psychology Congress, 1992. p.143-4.
  13. Çapri B, Gündüz B, Gökçakan Z. [Maslach burnout ınventory-student form (MTE-OF) adapting to Turkish: validity and reliability study]. Cukurova University Faculty of Education Journal. 2011;40(1).
  14. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. Journal of Cognitive Psychotherapy. 1998;12(2):163-72.
  15. Guthrie E, Black D, Bagalkote H, Shaw C, Campbell M, Creed F. Psychological stress and burnout in medical students: a five-year prospective longitudinal study. J R Soc Med. 1998;91(5):237-43. [Crossref]  [PubMed]  [PMC] 
  16. Willcock SM, Daly MG, Tennant CC, Allard BJ. Burnout and psychiatric morbidity in new medical graduates. Med J Aust. 2004;181(7):357-60. [Crossref]  [PubMed] 
  17. Yeniocak Tunç A, Yapıcı G. [Evaluation of student's depression, anxiety and stress levels in a medival faculty]. Turk J Public Health. 2019;17(2):153-68. [Crossref] 
  18. Canbaz S, Sünter AT, Aker S, Pekşen Y. [The anxiety level of the interns in a medical faculty and affecting factors]. Journal of General Me-dicine. 2007;17(1):15-9.
  19. Aslan D, Kiper N, Karaağaoğlu E, Topal F, Güdük M, Cengiz ÖS. Türkiye'de Tabip Odalarına Kayıtlı Olan Bir Grup Hekimde Tükenmişlik Sendromu ve Etkileyen Faktörler. Ankara: Türk Tabipleri Birliği Yayınları; 2005. p.65.
  20. Dyrbye LN, Thomas MR, Huntington JL, Lawson KL, Novotny PJ, Sloan JA, et al. Personal life events and medical student burnout: a multicenter study. Acad Med. 2006;81(4):374-84. [Crossref]  [PubMed] 
  21. Sevencan F, Uzun N, Yücel EH, Şener A, Yılmaz AE, Üner S. [Burnout level of sixth grade students at Hacettepe University Faculty of Medicine and affecting factors]. Hacettepe Tıp Dergisi. 2011;42(1):42-8.
  22. Armutlukuyu M. [Evaluation of burnout levels in faculty and research assistants working in medical faculties]. Genel Tip Dergisi. 2013; 23(4).
  23. Oğuzberk M, Aydın A. [Burnout in mental health workers]. Klinik Psikiyatri. 2008;11:167-79.
  24. Ardiç K, Polatci S. [Emotional exhaustion: an application to academic personal (the case of Gazi Osman Pasa University]. Gazi Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi. 2008;10(2):69-96.
  25. Karaoglu N, Şeker M. Anxiety and depression in medical students related to desire for and expectations from a medical career. West Indian Med J. 2010;59(2):196-202.

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